Esophageal dysphagia: 35 year old gentleman presented with dysphagia, regurgitation and heartburn since last 2 years. His UGI ENDOSCOPY revealed dilated Esophagus with residue and tight LES. On Esophageal Manometry diagnosis of " Achalasia Cardia" was confirmed. His PERORAL ENDOSCOPIC MAYOTOMY ( POEM) WAS PERFORMED AT ALFA GASTRO AND LIVER CARE. 15 days post procedure today. Patient is completely relieved from dysphagia. Per Oral Endoscopic Mayotomy is a high end procedure done for treatment of Achalasia Cardia. This procedure requires high level of expertise of Endoscopy doctors, technicians and staff. With a team effort such complex procedures are converted into success stories at ALFA GASTRO AND LIVER CARE, AHMEDABAD.